KATHALEEN R REAGAN LPCC
NPI 1306367032
Counselor - Professional in La Jolla, CA

Q: What is Kathaleen Reagan's NPI number?

The NPI number for Kathaleen Reagan is 1306367032. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Q: What is Kathaleen Reagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kathaleen Reagan was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2017PECOS Enrolled

8950 VILLA LA JOLLA DR STE C230, LA JOLLA, CA 92037(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jul 21, 2022, Oct 23, 2019 and 1 more (4 updates tracked since 2017).

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About Kathaleen R Reagan Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHALEEN R REAGAN LPCC (NPI 1306367032) is an individual professional provider in La Jolla, California, licensed in California (LPCC7527) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Barstow, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306367032

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHALEEN R REAGANCredential: LPCC

Location Address8950 VILLA LA JOLLA DR STE C230La Jolla, CA 92037-1712

Mailing Address8950 Villa La Jolla Dr Ste C230La Jolla, CA 92037-1712 · (925) 282-1778 · Fax (415) 296-5299

Phone(925) 282-1778

Fax(415) 296-5299

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 3, 2017

Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1306367032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · LPCC7527

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4032 (CA)

8950 VILLA LA JOLLA DR STE C230, La Jolla, CA 92037

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Secondary Practice Location 1

Location 1309 E Mountain View St Ste 100Barstow, CA 92311-2814 · Phone (760) 256-7279

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathaleen R Reagan Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234672312

PECOS Enrollment IDI20240617003957

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA S VOEHL MA, LPCC

Counselor (Professional)